1. Detection of Left Ventricular Remodeling in Acute ST Elevation Myocardial Infarction after Primary Percutaneous Coronary Intervention by Two Dimensional and Three Dimensional Echocardiography
- Author
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Rakesh Kumar Ola, S Ramakrishnan, Ashish Kumar Agarwal, Smriti Bhargava, and Chandra Bhan Meena
- Subjects
0301 basic medicine ,medicine.medical_specialty ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,three-dimensional sphericity index ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,three-dimensional echocardiography ,medicine ,Radiology, Nuclear Medicine and imaging ,cardiovascular diseases ,Myocardial infarction ,Ventricular remodeling ,Prospective cohort study ,Ejection fraction ,business.industry ,Left ventricular remodeling ,Percutaneous coronary intervention ,Three dimensional echocardiography ,medicine.disease ,030104 developmental biology ,medicine.anatomical_structure ,Ventricle ,Cardiology ,End-diastolic volume ,Original Article ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background: Left ventricular remodeling (LVR) after ST-elevation myocardial infarction (STEMI) harbingers poor prognosis. Three-dimensional echocardiography (3DE) is more accurate than 2 D echo for the assessment of left ventricle (LV) shape. We assessed LV geometry with 3D ECHO 6 months after STEMI in patients who had primary angioplasty. Materials and Methods: In this prospective study, morphological and functional analysis of LV with 3D ECHO (volumes, LVEF, 3D sphericity index [SI]) was assessed up to 7 days and 6 months in 42 STEMI patients. The LVR was considered for increase >15% of the end diastolic volume of the LV (LVEDV) 6 months after the STEMI, compared to the LVEDV up to 7 days of it. Results: Sixteen (38%) patients had LVR. 3D Echocardiographic measurements up to 7 days after the acute myocardial infarction (AMI) 1-LVEDV in ventricular remodeling group was 99.8 ± 19.1 ml and in no ventricular remodeling group was 87 ± 18.2 mL (P = 0.037); 2-LVEF was 0.48 ± 0.01 and 51 ± 0.02 (P
- Published
- 2018